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Savarese > Chapter 14 Counterstrain > Flashcards

Chapter 14 Counterstrain Flashcards

1
Q

What kind of technique is CS?

A

Passive indirect

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2
Q

What is a tenderpoint?

A

Small tense edematous area of tenderness about the size of a fingertip located near attachments of tendons, ligaments or belly of muscle that do NOT radiate pain

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3
Q

How do you determine a tenderpoint is clinically significant?

A

Compare to same spot on other side

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4
Q

Where should you start tx if there are multiple tenderpoints?

A

Tx the most tender area first

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5
Q

Where do you place the pt?

A

Into position of comfort/ease by shortening the muscle

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6
Q

After fine tuning the tx position with small arcs of motion, how much pain should be reduced?

A

> 70%

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7
Q

What is a maverick point?

A

Tenderpoints that do not improve with fine tuning

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8
Q

How do you tx maverick points?

A

Place the pt in a position opposite of what would be used typically

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9
Q

How long must the position be maintained?

A

90 secs–time takes for proprioceptive firing to decrease

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10
Q

How much tenderness should remain after tx?

A

<30%

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11
Q

Anterior cervical TP location?

A

Anterior to or on most lateral aspect of lateral masses

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12
Q

Tx position for anterior cervical TP?

A

SB and rotate head away form side of TP

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13
Q

Anterior cervical maverick point (anterior 7th cervical) location?

A

2-3cm lateral to medial end of clavical at lateral attachment of SCM

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14
Q

Anterior cervical MP tx position?

A

Flex, SB toward and rotate away from side of TP

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15
Q

Posterior cervical TP location?

A

Tip of SP or on lateral side of SP

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16
Q

Posterior cervical TP tx position?

A

Extend, SB (slightly), and rotate away

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17
Q

Posterior cervical MP/inion (posterior 1st cervical) location?

A

At inion (posterior occipital protuberance) or just below

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18
Q

Posterio cervical MP inion tx position?

A

Marked flexion

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19
Q

Anterior thoracic TPs location?

A 
T1-6 = located midline of sternum at attachment of corresponding ribs
T7-12 = most located in rectus abdominus m about 1 inch lateral to midline on right or left
20
Q

Anterior thoracic TPs tx position?

A

Flex thorax and add small amount of SB and rotation away

21
Q

Posterior thoracic TPs location?

A

Either side of SP or on TP

22
Q

Posterior thoracic TPs tx position?

A

Extend, rotate away and SB slightly away

23
Q

Anterior rib TPs are assoc with what rib position?

A

Depressed ribs (exhalation dysfunction)

24
Q

Posterior rib TPs are assoc with what rib position?

A

Elevated ribs (inhalation dysfunction)

25
How long must rib tx positions be held?
120 secs--allows pt extra time to relax
26
Anterior rib 1 TP location?
Just below medial end of clavicle
27
Anterior rib 2 TP location?
6-8cm lateral to sternum on rib 2
28
Anterior ribs 3-6 TP locations?
Along mid-axillary line on corresponding rib
29
Anterior rib tx position for ribs 1 and 2?
Flex head, SB and rotate towards
30
Anterior rib tx position for ribs 3-6?
SB and rotate thorax toward, encourage slight flexion
31
Posterior rib TP location?
Angle of corresponding rib
32
Posterior rib TP tx position?
Tx with minimal flexion, SB and rotate away
33
Anterior lumbar TP L1 location?
Just medial to ASIS
34
Anterior lumbar TP L2-4 location?
On the AIIIS
35
Anterior lumbar TP L5 location?
1cm lateral to pubic symphisis on superior ramus
36
Anterior lumbar TP tx position?
Most treated with pt supine, knees and hips flexed and markedly rotated away
37
Posterior lumbar TP location?
Either side of SP or on TP; L3-4 may be on iliac crest; L5 may be on PSIS
38
Posterior lumbar TP tx position?
Most treated with pt prone, extended and SB away (rotation may be towards or away)
39
Posterior lumbar MPs (lower pole 5th lumbar) location?
Inferior to PSIS as much as 1 cm
40
Posterior lumbar MP tx position?
Pt prone, hip and knee flexed, leg internally rotated and adducted
41
Iliacus TP location?
~7cm medial to ASIS
42
Iliacus tx position?
Pt supine with hip flexed and externally rotated
43
Piriformis TP location?
In the piriformis m 7cm medial to and slightly superior to greater trochanter
44
Piriformis TP tx position?
Pt prone, hip and knee flexed, thigh abducted and externally rotated
45
What percentage of TPs are maverick?
5%
46
What region is assoc with the greatest number of MPs?
Cervical spine

Savarese (31 decks)

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